25D2158329 CLIA NUMBER - BROOKHAVEN ANESTHESIA & PAIN MGMT ASSOC

Laboratory Demographics

  • CLIA Code: 25D2158329
  • Facility Name: BROOKHAVEN ANESTHESIA & PAIN MGMT ASSOC
  • Facility Address: 1024 BIGLANE DRIVE
    BROOKHAVEN, MS
    ZIP 39601
  • Facility Phone: 601 823-8000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ROBIN D. NATIONS
  • NPI Number: 1689659864
  • Taxonomy: 208VP0000X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 25D2158329
LAB Type Physician Office
Facility Name BROOKHAVEN ANESTHESIA & PAIN MGMT ASSOC
Street 1024 BIGLANE DRIVE
City BROOKHAVEN
State MS
ZIP 39601
Phone 601 823-8000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/27/2024
Certificate Expiration Date 11/26/2026
Facility Type Physician Office
Lab Director DR. ROBIN D. NATIONS

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This page was last updated on: 9/29/2025